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What should I know about my child and biking?
Biking is a great way for your child to stay active and a fun way to spend some family time.
When encouraging your child to learn how to ride, allow them to take part at a pace they are comfortable with.
Biking can feel scary to some kids and exciting to others, since bikes can move fast.
These are the average ages for riding:
Tricycles or balance bikes are good options for a three year old.
Pedal bikes with or without training wheels are good options for children four years and up.
Starting off with training wheels allows your child to build comfort and confidence in bike riding.
For children active in many sports, biking is a good alternative way to stay in shape and avoid over-use injuries.
Biking is sometimes recommended to help children recover from certain sports injuries.
Remember, any child on a bicycle or tricycle should always wear a helmet to protect their head.
How do I choose a motorless (traditional) bike that is best for my child?
The best fit bike for your child’s age allows them to:
Sit on the seat.
Have both feet touch the ground.
Have only a few inches between the top center bar and your child’s groin area.
Figure out how to use it.
Be able to brake, which depending on your child’s age and skill level may be on the handle bars or by using the pedals.
Take your child with you to shop for bikes so you can figure out what size and needs they have.
Tricycles allow your child to learn how to pedal and steer.
Bicycles with training wheels and bicycles without pedals (referred to as “balance bikes”) help your child learn how to balance while on a bike.
This makes learning how to ride a bike easier and safer.
The best option for your child is a bike they can use now, not necessarily one they can “grow into”.
Buying a bike that is too big for them can lead to injuries or scare them out of wanting to learn how to ride a bike.
Images of traditional bikes
Below is an example of a balance bike that doesn’t have wheels, wearing a helmet to keep the head protected.

Below is an example of tricycles, each rider wearing their helmet for safety.

Below is an example of a traditional bike where the children are able to put their feet on the ground who all have their helmets on for protection:

What should I know about an electric bike (e-bike) for my child?
Electric bikes have motors and rechargeable batteries.
They have pedals and two to three wheels.
They are heavier and go faster than traditional bikes.
Some have a throttle which allows the bike to run on the motor, no pedaling needed.
There are speed limiters on the bikes that can be unlocked, but doing so allows your child to go at dangerously higher speeds and can cause bike damage.
There are different classes:
Class 1: The biker has to pedal to make the motor work and can reach speeds up to 20 miles per hour.
Class 2: This bike has a throttle and the biker can use the pedals or the motor to reach a speed up to 20 miles per hour.
Class 3: This bike may or may not have a throttle and it requires some pedaling to reach a speed up to 28 miles per hour.
Before using, your child should know how to operate it safely as these require a different set of skills than traditional bikes.
E-bikes have many regulations on where and who can ride them in different states and neighborhoods.
First check the regulations in your area to find out if your child can operate one and what classes are permitted.
For children ages 9 to 12, The Consumer of Product Safety recommends that they never operate any product that goes faster than 10 miles per hour.
For teenagers, e-bikes are not considered motor vehicles and taking an additional training course is recommended.
Some schools require an e-bike training course if your child is going to park it in a permit area at school.
The bottom line is that going faster presents more safety risks for your child.
Images of electric bikes (e-bikes)
Below is an image of an electric bike with a rider practicing good safety habits with a helmet on:

Below is an image of an electric bike with a rider using her helmet as well:

What are e-bike safety risks?
There is a higher risk of injury and death on e-bikes compared to traditional bikes because of how fast the bikes go.
There is a higher rate of emergency room visits due to a higher injury rate on e-bikes.
The majority of injuries come from accidents with car vehicles and control issues with e-bikes.
E-bike batteries can cause fires and need recharging to work.
Never charge a battery over-night in case of a fire.
Make sure to monitor your child when they are plugging the battery in.
Make sure to use the appropriate charger for the e-bike battery.
E-bikes do need maintenance, so it is important to follow the instructions included with the bike.
What are bike and e-bike safety tips?
Make sure anyone riding a bike has a helmet on.
Wearing your helmet as the adult provides a good example for the children.
As soon as your child rides anything, encourage a helmet so that it is part of their routine.
Explain the importance of keeping their smart brain protected.
You can also remind them that professional athletes wear helmets to prevent injury as well.
The helmet should meet the standards of the Consumer Product Safety Commission (CPSC).
You can find the permanent label on the outside, inside, or strap.
The straps should always be fastened.
The helmet should cover the forehead and not wiggle or move from side to side when it is on.
If a helmet is in an accident, it should be replaced.
Wearing reflective or colorful clothing is helpful, so it is easier for drivers to see your child.
Avoid loose fitting clothing that could get caught in the wheels or chain.
Closed toes shoes are the safest option for riding, just make sure any shoelaces are tied tightly.
Knee pads, elbow pads, and wrist pads add additional safety protection and are strongly recommended.
Bikers should always follow the rules of the road, so be sure to share safety information with your child.
Only use crosswalks for crossing and be sure to get off of the bike when crossing.
Bikers must stop as stop signs, ride with traffic, and use bike lanes when present.
Be sure to teach your child how to look both ways before crossing.
Keep your child from wearing headphones, texting, or talking on cell phones while riding.
It is important to keep all of their attention on the road and remain free of distraction.
Your child should know how to use the pedals and brakes properly.
A soft area like grass is best for learning how to ride, so the area is padded if they fall.
Avoid riding in loose gravel, sand or puddles where your child is more likely to injure themself.
Biking at night makes it harder to see and for your child to be seen.
Young children should always stay off the street and be watched by an adult.
Riding alone as children get older varies as to when they are ready.
They should be able to show you they know and obey the rules of the road.
You know you can trust them to make good decisions, wear safety gear, and stay safe.
What are common bike injuries?
Head injuries:
Some of the most severe biking injuries involve head trauma.
If your child is not awake, call 911 or your local emergency number right away.
Try to avoid moving your child’s head or neck until help arrives.
If your child is bleeding you can apply gentle pressure or a cool compresses to the area (avoid using ice).
If your child is complaining of a headache, blurred vision, ringing in the ears, nausea, or dizziness call to have your child seen.
These symptoms are concerning for a head injury called a concussion.
Make sure your child always wears their helmet to protect their head.
Abdominal and groin injuries:
Abdominal injuries usually happen when a child falls, usually landing on the end of the handle bar.
If your child complains of stomach pain, vomits, or has blood in their urine, call to have your child seen.
Groin injuries can happen when your child falls, usually landing on the center bar of the bike.
If your child has and bleeding, problems urinating, or persistent pain, call to have your child seen.
For minor injuries, encourage your child to rest, apply cool compresses and you can give ibuprofen or acetaminophen.
Fractures (broken bones):While your child is still growing, fractures are more common than sprains and dislocations.
If your child will not bear weight or they complain of pain when you push on a bone, call to have your child seen.
If your child has severe pain or you can see that a bone looks different this is concern for a fracture and your child needs to be seen.
Prior to your child being seen you can use cooling measures (avoiding heat is best) and elevate the body part if possible.
For comfort, you can give your child ibuprofen or acetaminophen.
For soft tissue injuries (cuts, scrapes, and bruises):
Minor cuts and scrapes can be cleaned with a non-scented soap and water.
For deep cuts or scrapes call to have your child seen.
If the area looks infected or your child has a fever, call to have your child seen.
For comfort you can use cool compresses on the area and give your child ibuprofen or acetaminophen.
📚 References
Article written by TT DO. Reviewed by: TT, DO, JW MD, Patient Education Committee.
This content was adapted from Healthychildren.org,
Images from https://bungibungi.com/?srsltid=AfmBOoq0FEJN9bDA6vq0EjeYu3l3tQOjFRmjP7Mq5aXX5m3sl1jFnZ8B,https://www.schwinnbikes.com/blogs/compass/learning-how-to-ride-a-bike?srsltid=AfmBOopwwQ6zEAhlw7JuMoS50-gt-ZjdC5xE3WZjF5rxM4R3-vz1SAYK, https://www.schwinnbikes.com/blogs/compass/the-guide-to-kids-bike-sizes-and-height?srsltid=AfmBOorDUWlnfcjHmnz-jJm5XSzj6PACoq6A6y2E8fGcYkejZwFIp6lv, https://victripebike.com/products/victrip-r6-off-road-ebike?country=US¤cy=USD&utm_campaign=sag_organic&utm_content=sag_organic&utm_medium=product_sync&utm_source=google&variant=49648742564125&gad_source=1&gad_campaignid=23736871878&gbraid=0AAAAApYNJ5P5IlRffl7vvJ3iU2XQ9gYRg&gclid=EAIaIQobChMIw42-nazokwMVASrUAR2mTAjEEAkYByABEgJaLfD_BwE, https://electrek.co/2023/08/30/why-more-teenagers-should-ride-electric-bikes/

